Cardiac Tumor Treatment

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Cardiac tumours are primary or metastatic masses in the myocardium, chambers or pericardium. Primary tumours are rare; benign myxoma is most common. Malignant sarcomas are rarer but aggressive. Early diagnosis reduces embolic and haemodynamic risk.

Symptoms

Depending on site and mobility: dyspnoea, palpitations, chest pain, syncope, systemic embolism (e.g. stroke), fever or weight loss.

Diagnosis

  • Transthoracic / transoesophageal echocardiography
  • Cardiac MRI and CT (tissue characterisation)
  • Biopsy or surgical pathology when indicated

Treatment

Surgery

Complete excision is standard for benign tumours and removes embolic risk.

Surveillance / medical

Small asymptomatic lesions may be followed; anticoagulation sometimes discussed.

Oncology

After surgery for malignancy, chemotherapy/radiotherapy are planned multidisciplinary.

FAQ

  • Duration: Operating time often about 2–4 hours depending on the mass.
  • Recurrence: Low for benign lesions; imaging follow-up still advised.
  • Cancer? Not every cardiac mass is malignant; most are benign.
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